摘要
目的观察中医三联疗法对2型糖尿病患者的干预效果。方法选取2021年12月至2023年12月收治的75例2型糖尿病患者作为研究对象,按照随机数字表法分为试验组37例和对照组38例,对照组予常规健康管理干预,试验组予中医三联疗法干预。2组均干预3个月,比较2组干预前后血糖指标(包括糖化血红蛋白、空腹血糖、餐后2 h血糖)、糖尿病自我管理行为量表(SDSCA)评分(包括饮食控制、规律锻炼、血糖检测、足部护理、遵医嘱用药5个维度)、简明健康状况调查表(SF-36)评分(包括生理功能、社会功能、躯体疼痛、总体健康、精神健康、生理职能、一般健康状况、活力8个维度)变化情况。结果与本组干预前比较,2组干预后血糖指标糖化血红蛋白、空腹血糖、餐后2 h血糖水平均降低(P<0.05),且试验组干预后糖化血红蛋白、空腹血糖、餐后2 h血糖水平均低于对照组(P<0.05)。与本组干预前比较,2组干预后SDSCA饮食控制、规律锻炼、血糖检测、足部护理、遵医嘱用药评分及总分均升高(P<0.05),且试验组干预后SDSCA饮食控制、规律锻炼、血糖检测、足部护理、遵医嘱用药评分及总分均高于对照组(P<0.05)。与本组干预前比较,2组干预后SF-36生理功能、躯体疼痛、一般健康状况、活力、精神健康评分及总分均升高(P<0.05),对照组干预后情感职能评分降低(P<0.05),且试验组干预后SF-36生理功能、躯体疼痛、一般健康状况、活力、情感职能、精神健康评分及总分均高于对照组(P<0.05)。结论中医三联疗法能有效降低2型糖尿病患者血糖水平,提高患者自我管理行为和生活质量。
Objective To observe the intervention effect of triple therapy of traditional Chinese medicine(TCM)on patients with type 2 diabetes mellitus(T2DM).Methods A total of 75 T2DM patients admitted from December 2021 to December 2023 were randomly assigned into the control group(n=38)and experimental group(n=37),in which they received routine health management intervention and triple therapy of TCM,respectively.Both groups were intervened for 3 months,the blood glucose indicators(including glycosylated hemoglobin[HbA1c],fasting blood glucose[FBG],and 2-h postprandial plasma glucose[2-h PG]),Summary of Diabetes Self-Care Activities(SDSCA)scale scores(including diet control,regular exercise,blood glucose testing,foot care,and prescription drugs),and 36-item Short Form Health Survey(SF-36)scores(including physical function,social function,bodily pain,overall health,mental health,physiological role,general health status,and vitality)before and after the intervention were included as comparators.Results After intervention,the levels of HbA1c,FBG and 2-h PG in the both groups were significantly decreased(P<0.05),which in the experimental group were significantly lower than those in the control group(P<0.05).The dimension score and total score of SDSCA(including diet control,regular exercise,blood glucose testing,foot care,and prescription drugs)in the both groups were significantly increased after intervention(P<0.05),which were significantly higher in the experimental group than in the control group(P<0.05).After the intervention,the dimension score and total score of SF-36(physical function,bodily pain,general health status,vitality,mental health)in the both groups were significantly increased(P<0.05),only,the score of emotional function was decreased in the control group(P<0.05).The dimension score and total score of SF-36(physical function,bodily pain,general health status,vitality,emotional role,mental health)were significantly higher in the experimental group than of the control group(P<0.05).Conclusion Triple therapy of TCM can effectively lower blood sugar levels,and improve self-management behavior and quality of life in T2DM patients.
作者
王婷婷
黄娟
蔡喆燚
杨楠
魏雪乔
蔡亚宏
WANG Tingting;HUANG Juan;CAI Zheyi;YANG Nan;WEI Xueqiao;CAI Yahong(Department of Nursing,the First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007;Department of Endocrinology,the First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007;Department of Critical Care Medicine,the First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007;Blood Purification Center,the First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007;Department of Chronic Disease Management,the First Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007)
出处
《河北中医》
2025年第7期1113-1117,共5页
Hebei Journal of Traditional Chinese Medicine
基金
2024年度湖南省自然科学基金项目(编号:2024JJ9436)
2024年湖南中医药大学校院联合基金项目(编号:2024XYLH033)。
关键词
2型糖尿病
中医适宜技术
辨证论治
Type 2 diabetes mellitus
Traditional Chinese medicine appropriate technology
Therapy with syndrome differentiation
